Association of Health-Related Quality of Life with Breast Cancer Survival among Hispanic Population Using 10 Years of MEPS National Sample Cohort Data

Jongwha Chang, M. Angayen, J. Heo, S. Lopez
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Abstract

Background: Breast cancer is the most commonly diagnosed cancer among women in the United States and it is the leading cause of death among the Hispanic population. Little evidence exists the association of health-related quality of life (HRQoL) by the presence of breast cancer survival among the Latina population. This study was to look at the association of the presence of breast cancer survival on HRQoL measure in the US Hispanic population. Methods: This was a cross-sectional study analyzing data from the 2006-2015 Medical Expenditure Panel Survey (MEPS). The target population was comprised of Hispanic community-dwelling residents with breast cancer in the US. Two multivariate regression models were used to predict HRQoL measure by the presence of breast cancer survival among the Hispanic population. Results: A total 207 breast cancer survivors met the study inclusion criteria, and the estimated population size was 1.200,337 breast cancer survivors. In the multiple regression analysis on the SF-12 PCS scores, age, census region, poverty level, perceived health status, BMI, and employment were associated with SF12 PCS scores. The multiple regression analysis on the SF-12 MCS scores presented that age, census region, insurance type, perceived mental health status, and CCI were associated with SF-12 MCS scores. Conclusion: This study presents data on the HRQoL of Hispanic breast cancer survivors in the U.S. It builds on previous research that examines the HRQoL as expressed through the SF-12 PCS and SF-12 MCS surveys, rather than other types of measurement. This study may also be used as a guide in the implementation of clinical interventions and plans for survivorship care in improving the HRQoL of Hispanic breast cancer survivors.
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使用10年MEPS国家样本队列数据的西班牙裔人群中与健康相关的生活质量与乳腺癌生存率的关系
背景:乳腺癌是美国妇女中最常见的癌症,也是西班牙裔人口死亡的主要原因。在拉丁美洲人群中,很少有证据表明与健康相关的生活质量(HRQoL)与乳腺癌生存率存在关联。本研究旨在观察美国西班牙裔人群中乳腺癌生存率与HRQoLmeasure的关系。方法:这是一项横断面研究,分析2006-2015年医疗支出小组调查(MEPS)的数据。目标人群由美国患有乳腺癌的西班牙裔社区居民组成。两个多变量回归模型用于预测西班牙裔人群中乳腺癌生存率的HRQoL测量。结果:共有207名乳腺癌幸存者符合研究纳入标准,估计人群规模为1,200,337名乳腺癌幸存者。在SF-12 PCS得分的多元回归分析中,年龄、人口普查地区、贫困水平、感知健康状况、BMI和就业与SF12 PCS得分相关。SF-12 MCS得分的多元回归分析显示,年龄、人口普查地区、保险类型、感知心理健康状况和CCI与SF-12 MCS得分相关。结论:本研究提供了美国西班牙裔乳腺癌幸存者HRQoL的数据,它建立在先前的研究基础上,通过SF-12 PCS和SF-12 mcs调查来检测HRQoL,而不是其他类型的测量。本研究也可用于指导临床干预措施的实施和幸存者护理计划的实施,以提高西班牙裔乳腺癌幸存者的HRQoL。
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